2024-11-15T17:18:22-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 20 EAST THOMAS ROAD SUITE 2300 PHOENIX AZ 85012 990PF 2021-04-23 871039909 LIFESTANCE HEALTH FOUNDATION LIFE 2025084645 4800 N SCOTTSDALE RD 6000 SCOTTSDALE AZ 85251 WARREN GOUK TREASURER 2025084645 2024-11-15 1 MELISSA HANGSLEBEN P02087031 6022662248 2024-11-11 2021 2024-10-15 13:58:12Z X X X 5429167 X 10000000 0 10000000 0 0 0 0 6807 0 6807 715 0 715 7522 0 7522 323311 323311 330833 0 330833 9669167 0 669167 669167 0 4760000 4760000 0 5429167 5429167 0 0 X 0 0 0 0 0 5429167 0 5429167 0 5429167 0 9669167 0 9669167 4240000 5429167 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 AZ 1 0 1 0 0 1 LIFESTANCE.COM/THE-FOUNDATION WARREN GOUK 2025084645 4800 N SCOTTSDALE RD 6000 SCOTTSDALE AZ 85251 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MICHAEL LESTER 4800 NORTH SCOTTSDALE ROAD SUITE 6000 SCOTTSDALE AZ 85251 PRESIDENT 1.00 0 0 0 WARREN GOUK 4800 NORTH SCOTTSDALE ROAD SUITE 6000 SCOTTSDALE AZ 85251 TREASURER 1.00 0 0 0 RYAN PARDO 4800 NORTH SCOTTSDALE ROAD SUITE 6000 SCOTTSDALE AZ 85251 SECRETARY 1.00 0 0 0 FELICIA GORCYCA 4800 NORTH SCOTTSDALE ROAD SUITE 6000 SCOTTSDALE AZ 85251 DIRECTOR 1.00 0 0 0 ANISHA PATEL-DUNN 4800 NORTH SCOTTSDALE ROAD SUITE 6000 SCOTTSDALE AZ 85251 EXECUTIVE VICE PRESIDENT 1.00 0 0 0 NONE 0 NONE 0 0 6897500 616386 0 7513886 0 0 7513886 112708 7401178 256510 256510 0 256510 0 256510 0 256510 330833 0 330833 256510 0 0 0 330833 0 0 0 256510 74323 0 0 74323 0 0 0 0 0 0 0 74323 74323 GWEN BOOTH 4800 NORTH SCOTTSDALE ROAD SUITE 6000 SCOTTSDALE AZ 85251 2025084645 THE FOUNDATION WILL ENGAGE IN A PRE-GRANT INQUIRY OF EACH PROSPECTIVE RECIPIENT, AS WELL AS REQUIRE GRANT PROPOSALS FROM ORGANIZATIONS SEEKING GRANTS ABOVE A CERTAIN DOLLAR THRESHOLD. IN SELECTING GRANT RECIPIENTS, THE FOUNDATION WILL TAKE INTO ACCOUNT EACH PROSPECTIVE RECIPIENT'S FINANCIAL STATUS AND NEED, TAX-EXEMPT STATUS, MISSION, EXEMPT ACTIVITIES, AND ABILITY TO ACCOMPLISH THE PURPOSES FOR WHICH THE GRANT WOULD BE PROVIDED. GRANT RECIPIENTS WILL BE REQUIRED TO SUBMIT FISCAL AND NARRATIVE REPORTS ON THE USE OF GRANTS ON A REGULAR BASIS FROM THE DATE OF THE DISTRIBUTION UNTIL SUCH TIME AS THE GRANT HAS BEEN FULLY EXPENDED. NONE THE FOUNDATION WILL PROVIDE GRANTS AND SUPPORT TO ORGANIZATIONS FOR CHARITABLE OR EDUCATIONAL PURPOSES. IN THE EVENT THE FOUNDATION LEARNS THAT A GRANT HAS BEEN MADE OR USED FOR PURPOSES INCONSISTENT WITH THE FOUNDATION'S REQUIREMENTS AND/OR EXEMPT PURPOSES, THE FOUNDATION WILL TAKE REMEDIAL ACTION, WHICH MAY INCLUDE REQUIRING THAT THE RECIPIENT ORGANIZATION RETURN THE GRANT AND WITHHOLDING ANY FURTHER GRANT PAYMENTS. HILLSBORO SCHOOLS FOUNDATION 5193 NE ELAM YOUNG PKWY SUITE A HILLSBORO OR 97124 PC PROVIDE SUPPLIES AND EQUIPMENT FOR EVIDENCE-BASED MENTAL HEALTH TREATMENT FOR K-12 STUDENTS. 35811 MENTAL HEALTH COALITION INC 603 W 50TH ST NEW YORK NY 10019 PC SUPPORT A JOINT PROGRAM DESIGNED TO DESTIGMATIZE MENTAL HEALTH. 250000 US OLYMPIC & PARALYMPIC FOUNDATION 1 OLYMPIC PLAZA COLORADO SPRINGS CO 80909 PC USOPC MENTAL HEALTH PROGRAM 30000 WASHINGTON RECOVERY ALLIANCE 2470 WESTLAKE AVE N 201 SEATTLE WA 98109 PC RECOVERY DAY AT THE MARINERS 7500 323311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X X 1 LIFESTANCE HEALTH INC 7373 N SCOTTSDALE RD SCOTTSDALE AZ 85253 10000000 X X 1 500,000 SHARES OF LIFESTANCE HEALTH GROUP, INC. STOCK 9000000 2021-06-14 AMENDMENT SUMMARY FORM 990-PF THE RETURN IS BEING AMENDED TO REFLECT CHANGES RESULTING FROM A STOCK CONTRIBUTION THAT WAS INADVERTENTLY OMITTED FROM THE ORIGINALLY FILED RETURN. CHANGES INCLUDE ADJUSTMENTS TO PART I, COLUMN A, LINE 1; PART II, COLUMNS B AND D, LINE 10B; PART III, LINE 5 AND PART IX, X AND PART XI, QUALIFYING DISTRIBUTIONS. LIFESTANCE HEALTH GROUP, INC. - 500,000 SHARES 4760000 4760000 LEGAL EXPENSES 6807 0 6807 UNREALIZED LOSS ON INVESTMENTS 4240000 BANK FEES 715 0 715 LIFESTANCE HEALTH INC 7373 N SCOTTSDALE RD SCOTTSDALE AZ 85253